Type of insulin | Onset | Peak effect |
---|---|---|
Rapid acting: insulin lispro (Humalog) | 0 to 15 minutes | 30 to 90 minutes |
Short acting: regular human insulin (Humulin R, Novolin R) | 30 to 45 minutes | 2 to 4 hours |
Is Humalog fast acting or slow acting insulin?
Humalog is an Eli Lilly product, with the active ingredient insulin lispro. It is extremely rapid-acting, and will typically begin to work within 15 minutes. Effects of the insulin last for between 2 and 5 hours. It is faster-acting than soluble insulin, and is therefore extremely useful around mealtimes.
What is the onset peak and duration of Humalog?
Humalog and Novolog are clear liquids that begin to work 10 minutes after injection and peak at 1 hour after injection, lasting for 3-4 hours in the body. However, most patients also need a longer-acting insulin to maintain good control of their blood sugar.
Should I take Humalog?
To make sure Humalog is safe for you, tell your doctor if you have ever had:
- liver or kidney disease;
- heart problems; or
- low levels of potassium in your blood (hypokalemia).
How long does Humalog stay in the body?
Once injected, Regular insulin takes 30 minutes to begin working, peaks between 2 and 4 hours and hangs on for 6 to 8 hours, long after the meal stopped raising the blood sugar. Humalog and Novolog, on the other hand, begin working in about 10 minutes, peaks at one to one and a half hours and are gone in about three and a half to four hours.
What is the half-life of Humalog?
Half-life. 1 or 1.5 hours for insulin lispro or insulin human, respectively.
Can Humalog be given at bedtime?
Can I use Humalog at bedtime? No, you shouldn't use Humalog at bedtime. The drug is a rapid-acting insulin and is meant to be used up to 15 minutes before a meal or right after a meal. Using Humalog at mealtimes helps you manage your blood sugar throughout the day.24-May-2021
Can I take insulin 2 hours after eating?
Research shows that the best time to take a mealtime insulin is 15 to 20 minutes before you eat a meal. You can also take it after your meal, but this may put you at a higher risk of a hypoglycemic episode.21-Sept-2018
How long does it take for insulin to lower blood sugar?
Rapid-acting insulin starts to lower blood sugar within 15 minutes and its effects last for 2 to 4 hours. Short-acting insulin starts to work within 30 minutes and its effects last for 3 to 6 hours. Intermediate-acting insulin starts to work within 2 to 4 hours and lasts for 12 to 18 hours.07-Mar-2021
How many units of Humalog is normal?
Based on recommendations from the American Diabetes Association, the starting dose for rapid-acting insulins such as Humalog is about 4 units, or about 10% of your long-acting insulin dose. You should take your dose of rapid-acting insulin at your largest meal of the day.28-Mar-2021
How much insulin should I take if my blood sugar is 400?
Theoretically, to reduce 400 mg/dL blood sugar to about 100 mg/dL, you would need at least 10 units of insulin. However, depending on your weight and other factors, a higher dose of insulin is almost always required.24-Jan-2022
What is a good blood sugar level at bedtime?
Your blood sugar goal at bedtime should be in the range of 90 to 150 milligrams per deciliter (mg/dL).
Why is my blood sugar high even with insulin?
Many factors can contribute to hyperglycemia, including: Not using enough insulin or oral diabetes medication. Not injecting insulin properly or using expired insulin. Not following your diabetes eating plan.27-Jun-2020
What time should a diabetic stop eating at night?
Some experts say not eating for two hours before going to bed helps prevent high blood sugar (glucose) levels and related health problems such as diabetes and heart disease.22-Jan-2019
How Much Will 10 units of insulin drop blood sugar?
Generally, to correct a high blood sugar, one unit of insulin is needed to drop the blood glucose by 50 mg/dl. This drop in blood sugar can range from 30-100 mg/dl or more, depending on individual insulin sensitivities, and other circumstances.
What should I do if my blood sugar is over 300?
According to the University of Michigan, blood sugar levels of 300 mg/dL or more can be dangerous. They recommend calling a doctor if you have two readings in a row of 300 or more. Call your doctor if you're worried about any symptoms of high blood sugar.
What do you do if your blood sugar won't go down?
Increase InsulinIncrease your dose.Take a fast-acting type before meals to help with swings in blood sugar after you eat.Take a long-acting type once or twice a day to help give you smoother blood sugar control.Use an insulin pump, which may make it easier to manage your blood sugar levels.11-Jan-2022
What is mealtime insulin?
What is mealtime insulin? Mealtime insulins are fast-acting insulins that are taken immediately before or after meals. As you eat, your blood sugar naturally goes up, or “spikes.” Humalog® (a fast-acting insulin) works to manage those blood sugar spikes and may help keep your sugar levels in balance. Humalog should be taken within 15 minutes before eating or right after eating a meal. People who take Humalog will usually continue to take longer-acting insulin to help manage blood sugar levels at night and between meals. Taking mealtime insulin in addition to longer-acting insulin may help to control blood sugar levels throughout the day. Low blood sugar (hypoglycemia) is the most common side effect of Humalog that may be severe and cause unconsciousness (passing out), seizures, and death. Test your blood sugar levels as your doctor instructs. Talk to your doctor about low blood sugar symptoms and treatment. The orange area shows how blood sugar levels typically rise after meals. The pattern of insulin action may vary in different individuals or within the same individual. Comparing types of insulin Take a look at our overview below to find out about the different types of insulin. You’ll notice that there are differences in when the types of insulin reach your bloodstream, when they “peak” in your body, and how long they can last (length of time the insulin keeps lowering your blood sugar). Fast-acting insulin (also called rapid-acting) is absorbed quickly and starts working in about 15 minutes to lower blood sugar after meals. Humalog fast-acting insulin should be taken 15 minutes before eating or right after eating a meal. Depending on the type of diabetes you have, you may need to take Humalog with a longer-acting insulin or oral anti-diabetes medication. Continue reading >>
What is the generic name for insulin lispro?
Generic Name: insulin lispro (IN soo lin LISS pro) Brand Names: HumaLOG, HumaLOG Cartridge, HumaLOG KwikPen, HumaLOG KwikPen (Concentrated) What is Humalog ? Humalog (insulin lispro) is a fast-acting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours. Insulin is a hormone that works by lowering levels of glucose (sugar) in the blood. Humalog is used to improve blood sugar control in adults and children with diabetes mellitus. Humalog is used to treat type 2 diabetes in adults. Humalog is also used to treat type 1 diabetes in adults and children who are at least 3 years old. Important information Humalog is a fast-acting insulin that begins to work very quickly. If you use this medication with meal, use it within 15 minutes before or just after you eat. Never share an injection pen, cartridge, or syringe with another person, even if the needle has been changed. You should not use Humalog if you are having an episode of hypoglycemia (low blood sugar). Humalog is only part of a complete program of treatment that may also include diet, exercise, weight control, foot care, eye care, dental care, and testing your blood sugar. Follow your diet, medication, and exercise routines very closely. Changing any of these factors can affect your blood sugar levels. Before taking this medicine You should not use Humalog if you are allergic to insulin, or if you are having an episode of hypoglycemia (low blood sugar). Humalog should not be given to a child younger than 3 years old. Humalog should not be used to treat type 2 diabetes in a child of any age. To make sure Humalog is safe for you, tell your doctor if you have: liver or kidney disease; or low levels of potassium in your blood (hypokalemia). Tell your doctor if Continue reading >>
What are the different types of insulin?
Glucose provides the cells with the energy they need to function. There are two main groups of insulins used in the treatment of diabetes: human insulins and analog insulins, made by recombinant DNA technology. The concentration of most insulins available in the United States is 100 units per milliliter. A milliliter is equal to a cubic centimeter. All insulin syringes are graduated to match this insulin concentration. There are four categories of insulins depending on how quickly they start to work in the body after injection: Very rapid acting insulin, Regular , or Rapid acting insulins, Intermediate acting insulins, Long acting insulin. In addition, some insulins are marketed mixed together in different proportions to provide both rapid and long acting effects. Certain insulins can also be mixed together in the same syringe immediately prior to injection. Rapid Acting Insulins A very rapid acting form of insulin called Lispro insulin is marketed under the trade name of Humalog. A second form of very rapid acting insulin is called Aspart and is marketed under the trade name Novolog. Humalog and Novolog are clear liquids that begin to work 10 minutes after injection and peak at 1 hour after injection, lasting for 3-4 hours in the body. However, most patients also need a longer-acting insulin to maintain good control of their blood sugar. Humalog and Novolog can be mixed with NPH insulin and are used as “bolus” insulins to be given 15 minutes before a meal. Note: Check blood sugar level before giving Humalog or Novalog. Your doctor or diabetes educator will instruct you in determini Continue reading >>
What is the difference between humalog and novolog?
These drugs both help control blood glucose (sugar) in people with type 1 and type 2 diabetes. Humalog and Novolog are both rapid acting. That means they work more quickly than other types of insulin. There are important distinctions between Humalog and Novolog, however, and the drugs are not directly interchangeable . Check out this comparison so you can work with your doctor to choose a drug that’s right for you. Insulin is injected under your skin fat. It’s the most common type of treatment for type 1 diabetes because it works quickly. It’s also the only type of diabetes medication that’s absorbed into the bloodstream. Humalog and Novolog are both equivalent to the insulin made in your body. Unlike oral diabetes drugs, insulin provides fast relief for changes in your blood sugar. The type of insulin your doctor prescribes depends on how often and how much your blood sugar fluctuates each day. The table below provides quick facts at a glance. Brand name Humalog Novolog What is the generic drug? insulin lispro insulin aspart Is a generic version available? no no What does it treat? type 1 and type 2 diabetes type 1 and type 2 diabetes What form does it come in? solution for injection solution for injection What strengths does it come in? • 3-mL cartridges • 3-mL prefilled KwikPen • 3-mL vials • 10-mL vials • 3-mL FlexPen • 3-mL FlexTouch • 3-mL PenFill cartridges • 10-mL vials What is the typical length of treatment? long-term long-term How do I store it? Refrigerate at 36° to 46°F (2° to 8°C). Do not freeze the drug. Refrigerate at 36° to 46°F (2° to 8°C). Do not freeze the drug. Continue reading >>
Is insulin lispro good for diabetes?
Research has established the importance of maintaining blood glucose levels near normal in patients with type 1 (insulin-dependent) diabetes mellitus. Short-acting insulin analogs are designed to overcome the limitations of regular short-acting insulins. Compared with regular human insulin, the analog insulin lispro offers faster subcutaneous absorption, an earlier and greater insulin peak and a more rapid post-peak decrease. Insulin lispro begins to exert its effects within 15 minutes of subcutaneous administration, and peak levels occur 30 to 90 minutes after administration. Duration of activity is less than five hours. Rates of insulin allergy, lipodystrophy, hypoglycemia and abnormal laboratory test results are essentially the same in patients using insulin lispro and in those using regular human insulin. The Diabetes Control and Complications Trial (DCCT)1 established the importance of maintaining near-normal blood glucose levels in patients with type 1 (insulin-dependent) diabetes mellitus. In these patients, intensive therapeutic regimens have been found to delay the onset and reduce the progression of microvascular complications by 50 to 75 percent as compared with conventional regimens. Although no large-scale investigations have been completed, smaller studies have reported similar benefits for intensive therapeutic regimens in patients with type 2 (non–insulin-dependent) diabetes.2 Primary care physicians provide medical care for 75 percent of children and 90 to 95 percent of adults with diabetes.3 Regardless of the type of diabetes, improved glycemic control often can be achieved with individualized tools for patient self-management, carefully formulated nutrition plans and the use of alternative insulin regimens.4 Overview of Insulin Insulin is necessary Continue reading >>
What is the role of insulin in glucose metabolism?
Regulation of glucose metabolism is the primary activity of insulins and insulin analogs, including insulin lispro. Insulins lower blood glucose by stimulating peripheral glucose uptake by skeletal muscle and fat, and by inhibiting hepatic glucose production. Insulins inhibit lipolysis and proteolysis, and enhance protein synthesis.
How is insulin lispro made?
Insulin lispro is produced by recombinant DNA technology utilizing a non-pathogenic laboratory strain of Escherichia coli. Insulin lispro differs from human insulin in that the amino acid proline at position B28 is replaced by lysine and the lysine in position B29 is replaced by proline. Chemically, it is Lys (B28), Pro (B29) human insulin analog and has the empirical formula C 257 H 383 N 65 O 77 S 6 and a molecular weight of 5808, both identical to that of human insulin.
How to administer Humalog U-200?
Administer the dose of Humalog U-100 or Humalog U-200 within fifteen minutes before a meal or immediately after a meal by injection into the subcutaneous tissue of the abdominal wall, thigh, upper arm, or buttocks. To reduce the risk of lipodystrophy and localized cutaneous amyloidosis, rotate the injection site within the same region from one injection to the next. Do not inject into areas of lipodystrophy or localized cutaneous amyloidosis [see Warnings and Precautions ( 5.2) and Adverse Reactions ( 6 )].
What is the risk of hypoglycemia after insulin injection?
The risk of hypoglycemia after an injection is related to the duration of action of the insulin and, in general, is highest when the glucose lowering effect of the insulin is maximal. As with all insulin preparations, the glucose lowering effect time course of Humalog may vary in different individuals or at different times in the same individual and depends on many conditions, including the area of injection as well as the injection site blood supply and temperature [see Clinical Pharmacology ( 12.2 )]. Other factors which may increase the risk of hypoglycemia include changes in meal pattern (e.g., macronutrient content or timing of meals), changes in level of physical activity, or changes to co-administered medication [see Drug Interactions ( 7 )]. Patients with renal or hepatic impairment may be at higher risk of hypoglycemia [see Use in Specific Populations ( 8.6, 8.7 )].
Why is Humalog hypoglycemia?
Hypoglycemia Due to Medication Errors. Accidental mix-ups between basal insulin products and other insulins, particularly rapid-acting insulins, have been reported. To avoid medication errors between Humalog and other insulins, instruct patients to always check the insulin label before each injection.
How long can Humalog U 100 be stored in the refrigerator?
Infusion bags prepared with Humalog U-100 are stable when stored in a refrigerator (2° to 8°C [36° to 46°F]) for 48 hours and then may be used at room temperature for up to an additional 48 hours [see Dosage and Administration ( 2.2 )].
What type of antibody is used in diabetes mellitus?
In large clinical trials with patients with type 1 (n=509) and type 2 (n=262) diabetes mellitus, anti-insulin antibody (insulin lispro-specific antibodies, insulin-specific antibodies, cross-reactive antibodies) formation was evaluated in patients receiving both regular human insulin and Humalog (including patients previously treated with human insulin and naive patients). As expected, the largest increase in the antibody levels occurred in patients new to insulin therapy. The antibody levels peaked by 12 months and declined over the remaining years of the study. These antibodies do not appear to cause deterioration in glycemic control or necessitate an increase in insulin dose. There was no statistically significant relationship between the change in the total daily insulin dose and the change in percent antibody binding for any of the antibody types.
What is humalog mix?
Humalog Mix is given as a subcutaneous injection. Humalog Mix comes as a 50/50 mixture, containing 50% insulin lispro protamine and 50% insulin lispro. It’s also comes as a 75/25 mixture, containing 75% insulin lispro protamine and 25% insulin lispro.
What is the FDA approved for?
The Food and Drug Administration (FDA) has approved Humalog and NovoLog to help manage blood sugar levels in people with type 1 or type 2 diabetes. Humalog, Humalog Mix, NovoLog, and NovoLog Mix are all approved for use in adults with type 1 or type 2 diabetes.
How much insulin should I take for diabetes?
According to the American Diabetes Association, a typical daily insulin dosage for type 1 diabetes is about 0.4 to 1.0 unit of insulin for each kilogram of your body weight. (One kilogram is about 2.2 pounds.) Most people take about half their daily insulin dose as a fast-acting insulin, such as Humalog, at mealtimes.
What is a generic insulin?
The generic drug is known as insulin lispro protamine/insulin lispro. A generic drug is an exact copy of the active drug in a brand-name medication. The generic is considered to be as safe and effective as the original drug. Generics tend to cost less than brand-name drugs.
Why do I gain weight?
The weight gain is related to how insulin works in your body. Insulin helps cells remove excess sugar from your blood. Some of this excess sugar is stored for future use as body fat. Over time, this can lead to some weight gain.
When to take humalog?
Humalog and NovoLog are rapid-acting insulin analogs. (An analog is a man-made version of the natural insulin that your body makes.) They’re typically taken at mealtimes to control spikes in blood sugar that occur after eating. You take Humalog 15 minutes before a meal. You take NovoLog 5 to 10 minutes before a meal.
How many meals can you take with humalog?
Each dose of Humalog Mix is intended to cover two meals, or one meal and a snack. Depending on the dosage you need, you may have to have more than one injection of Humalog Mix. People with type 2 diabetes typically need high doses of insulin. If you need to take high doses of Humalog, talk with your doctor.
How long before a meal can you take Humalog?
Administer the dose of HUMALOG U-100 or HUMALOG U-200 within fifteen minutes before a meal or immediately after a meal by injection into the subcutaneous tissue of the abdominal wall, thigh, upper arm, or buttocks.
Can you use Humalog if you have coloration?
It should appear clear and colorless. Do not use HUMALOG if particulate matter or coloration is seen. Use HUMALOG prefilled pens with caution in patients with visual impairment that may rely on audible clicks to dial their dose.
